Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Odam Community Clinics

Organization Allergy & Immunology Physician · NPI 1194437061

Odam Community Clinics is an Allergy & Immunology Physician in Minneapolis, Minnesota. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
9
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Practice location Address checks out

2015 Chicago Ave
Minneapolis, MN 55404-2813
Phone: (763) 285-4916
Fax: (612) 345-4191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X
Allergy & Immunology Physician Taxonomy 207K00000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X
Rheumatology Physician Taxonomy 207RR0500X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Pediatrics Physician Taxonomy 208000000X
Psychiatry Physician Taxonomy 2084P0800X

Record details

NPI number1194437061
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Larbi-Odam — Medical Director · (952) 228-0420
NPI enumeratedDecember 21, 2022
Last updated in NPPESMarch 31, 2023
Certification dateMarch 31, 2023
Mailing address2015 Chicago Ave, Minneapolis, MN 55404-2813

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